=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730264029
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RUMFELT DRUG INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2009 S 7TH ST
-----------------------------------------------------
City | HICKMAN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42050-1841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-236-2588
-----------------------------------------------------
Fax | 270-236-9162
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 297
-----------------------------------------------------
City | HICKMAN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42050-0297
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PHCST
-----------------------------------------------------
Name | ARLIE DICK
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 270-236-2889
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | P06834
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------